A Case of Ischemic Cardiomyopathy and Left Bundle-Branch Block Surgically Treated with Coronary Artery Bypass Grafting, Therapeutic Angiogenesis and Biventricular Pacing

(Division of Organ Regeneration Surgery, Tottori University Hospital, Yonago, Japan)

Naruto Matsuda Hideki Nakashima Akira Marumoto
Yoshinobu Nakamura Satoshi Kamihira Yasushi Kanaoka
Shingo Ishiguro Shigetsugu Ohgi
A 67-year-old man was referred to our department for surgical treatment of ischemic cardiomyopathy. Chest X-ray showed cardiomegaly with a cardiothoracic ratio of 62% and pulmonary congestion. CAG revealed multiple obstructive lesions in the left coronary artery system. LVG and UCG showed ventricular dilatation and dysfunction. ECG showed complete left bundle branch block with a QRS duration of 180ms. He underwent autologous bone marrow cell implantation and biventricular pacing concomitant with coronary artery bypass grafting. He is doing well after 15 months without any complications. Combination with therapeutic angiogenesis and cardiac resynchronization therapy may contribute to the development of new regenerative strategy for patients with severe ischemic cardiomyopathy.
@Jpn. J. Cardiovasc. Surg. 34: 435-439 (2005)